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21.
AC Chambers AV Patil R Alves JC Hopkins J Armstrong RN Lawrence 《Annals of the Royal College of Surgeons of England》2012,94(8):548-551
INTRODUCTION
Vernix caseosa peritonitis (VCP) is a rare and poorly recognised condition resulting from a sustained foreign body reaction to the vernix caseosa of the baby. This case-based review aims to highlight its importance for any medical team managing patients with peritonitis who have undergone a recent Caesarean section.CASE REPORT
A 31-year-old woman presented 5 weeks after a Caesarean section with symptoms and signs of peritonitis.CONCLUSIONS
Laparotomy and peritoneal lavage is the mainstay of treatment for VCP. Knowledge of the condition may stop inadvertent resection of normal intra-abdominal organs. Greater awareness of VCP is required to ensure earlier recognition as patients can recover well following timely operative intervention. 相似文献22.
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Objective: To identify risk factors for development of dehydration in under five year olds with acute watery diarrhoea.Design: Hospital based unmatched case-control study.Setting: Diarrhoea Treatment Unit, Government Medical College Hospital, Nagpur, India.Participants: The study included 387 cases of diarrhoea having severe or moderate dehydration and 387 controls suffering from diarrhoea with mild or no dehydration.Risk factors: The study included infancy, female sex, religion, residing in urban slums or rural area, under nutrition, cessation of breast feeding during diarrhoeal episode, fluid intake decreased/stopped during diarrhoea, ORS not received, home available fluids (HAF) not received, both ORS and HAF not received, non-washing of hands by mother before preparation of food, after defaecation, after disposal of faeces, history of measles in the previous six months, frequency of stools >8/d, frequency of vomiting more than twice per day and temperature more than 99°F, as risk factors for development of dehydration.Statistical analysis: Univariate analysis included OR, 95% CI for OR and Chi-square test. Multivariate analysis was carried out by unconditional multiple logistic regression (MLR).Results: This study identified the significance of infancy, religion, severe undernutrition, non-washing of hands by mother before preparation of food, frequency of stool >8/d, frequency of vomiting >2/d, history of measles in previous six months, withdrawal of breast feeding during diarrhoea, withdrawal of fluids during diarrhoea and not giving ORS, HAF or both during diarrhoea, in the outcome of development of moderate or severe dehydration.Conclusions: Timely intervention in the preventable risk factors included in this study may prevent the development of moderate or severe dehydration in the children suffering form acute watery diarrhoea. 相似文献
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B A Zelinski? V S Vernigorodski? L V Gamarnik M V Vernigorodskaia L I Goncharov 《Problemy e?ndokrinologii》1988,34(1):28-31
A study was made of the state of microcirculation and oxygen balance of tissues in 51 patients with chronic adrenocortical insufficiency with various degrees of severity of disease during decompensation and compensation. Methods of biomicroscopy of the eye conjunctival vessels using a photoslit tube and polarography on the LP-7 apparatus were employed. Considerable disorders of microcirculation and tissue oxygen balance in patients with Addison's disease depending on a degree of severity of disease indicated a great role of the adrenocortical hormones in maintaining homeostatic stability and body vital activity. 相似文献
27.
The variable appearance of the left superior intercostal vein 总被引:1,自引:0,他引:1
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Pulmonary nodules studied by computed tomography 总被引:2,自引:0,他引:2
The authors analyzed 177 pulmonary nodules using thin-section computed tomography (CT), calculating the representative CT number (RCT#) from a computer printout. None of the 96 malignant nodules had an RCT# greater than 151 H. Of the 81 benign nodules, 14 were shown to be calcified by conventional radiography and had an RCT# ranging from 763 and 1,023 H. Thirty had an RCT# greater than 200 H; this included 24 which showed no calcification on conventional tomograms. The remaining 37 benign nodules had an RCT# less than 200 H; 6 of them were hamartomas, including 2 which were diagnosed as such due to their fat content. 相似文献
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S Sinha S Gupta S Malhotra NS Krishna AV Meru V Babu V Bansal M Garg N Kumar A Chugh A Ray 《British journal of pharmacology》2010,160(5):1119-1127